IndividualActive
Michael Dattola, LCSW
NPI 1366458291 · Clinical Social Worker · Haiku, HI
Provider details
- NPI number
- 1366458291
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- License
- 3420 (HI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1090 E Kuiaha Rd
Haiku, HI 96708-5535
Phone: (808) 707-7219
Fax: (808) 649-2229
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 791976
Paia, HI 96779-1976
Registry dates
- Enumerated
- 2006-07-31
- Last updated
- 2023-06-10
- Certified
- 2023-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.